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Author Topic: 99397 and G0402  (Read 934 times)

TXBiller

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99397 and G0402
« on: November 16, 2019, 09:44:16 PM »
Anyone know why Medicare paid for G0402 and not 99397?  I thought they would pay for both since G0402 is not bundled into 99397.  I put a mod 25 on 99397.

TIA
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Michele

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Re: 99397 and G0402
« Reply #1 on: November 17, 2019, 11:19:57 PM »
Medicare uses HCPCS codes G0438 & G0439 for wellness exams.  They do not reimburse for cpt codes 99381-99397.
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Re: 99397 and G0402
« Reply #1 on: November 17, 2019, 11:19:57 PM »
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